Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00392 | Date 13/08/2018 |
| Token No | SM/18-19/443 13/08/2018 | Serial | 050 |
| Patient Name | Mrs. PRIYANKA DEVI | Contact No | |
| Address | Age | 21 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||